Brake Concern Name* First Last Phone*Email Vehicle Make* Year/Make/ModelAre the noises* Always Intermittent Rare Where do you think the issue is located? Drivers Side Front Drivers Side Rear Front Passengers Side Front Passengers Side Rear Rear Does your vehicle stop ok? Yes No Does your brake pedal seems... To work okay Soft Too low To pulse or chatter To return too slowly Hard Too High Spongy To work better when pumped Check all that applyDoes your vehicle... Stop straight Pull right only when braking Pull left only when braking None of the above Check all that applyDo the brakes: Make noise when brakes applied Grab (You touch the brakes and they react in a far stronger way than they would normally) Seem to be dragging (Feels like you are applying light pressure to the brakes) Noise goes away when brakes applied Vibrate / Pulsate Check all that applyIf you selected noise, it sounds like? Squeal Grind Screech Metallic When do the brakes make noise? First Starting Backing Up Turning Light to medium braking Hard braking In the cold Check all that applyIf the brakes grab, please choose how often Intermittent First application Cold Always Wet outside Hot Check all that applyIf the brakes vibrate or pulsate please choose a speed Highway speeds All the time Down large hills In town speeds Extended driving Check all that applyThe emergency / parking brakes Work okay Don't work properly Are rarely used Has brake fluid been added in the last 6 months? Yes No If you have to add brake fluid, how often? Daily Every few days Weekly Monthly Have any repairs been done recently?* Yes No If so, please specify*Are any of these warning lights on? ABS Yellow Traction Light Brake Lamp Red Stabilitrac Light Check all that applyAdditional Information if requiredCAPTCHA Δ
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